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No. 5090157
Name
BLORE, May Austin
residing at 2 Pleasant Street, Cromwell, Conn.
Age 50
years. Date of order of admission Sept. 18, 1941
Date certificate issued October- 27, 1941
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 24504
7 May (Complete tustin and Blore of holder)
Registration No. 1930309 signature
true
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